| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
6,479 |
6,346 |
$274K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,963 |
2,917 |
$125K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
610 |
585 |
$58K |
| 92015 |
Determination of refractive state |
1,171 |
1,134 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
133 |
133 |
$15K |